Open Hip Abductor Repair: Double‐Row, Rip‐Stop Technique

Tendinopathy of the gluteus and minimus tendons is an increasingly recognized source of lateral hip pain. In recalcitrant cases, following exhaustion of nonoperative modalities, operative treatment is being considered more aggressively and optimistically with both open and endoscopic techniques, promising significant pain relief and gait improvement. Recent cadaveric biomechanical analysis demonstrated increased anatomic footprint coverage and higher load to failure of double-row compared to single-row suture anchor techniques. Because of the combined advantages of both double-row anchors and rip-stop repair demonstrated in rotator cuff repair, this article proposes and highlights an open, double-row, rip-stop suture anchor technique to address abductor tendon tears.